Auditable events and tamper-resistance (MU3)

Issues:

(d)(2)(i)(A)

• The audit log must record the information specified in sections 7.1.1 through 7.1.3 and 7.1.6 through 7.1.9 of the standard specified in ASTM E2147-18 and changes to user privileges when health IT is in use. (PASS)

• CLARIFICATION

• Support for 7.1.3 (Duration of access) was dropped since was not felt to be in scope for certifying and testing to 2015 Edition Cures Update certification.

(d)(2)(i)(B)

• The audit log must record the information specified in sections 7.2 and 7.4 of the standard specified in ASTM E2147-18 when the audit log status is changed. Interestingly, 7.2 and 7.4 do not exist in ASTM E2147-18, but in a prior ASTM E2147-01 version used in MU2, 7.2 was 'Date and Time of Event' and 7.4 was 'User Identification'; notably there was a clarification to fix this and need to support 7.1.1 (Date and Time of access event) and 7.1.7 (User Identification). (PASS)

(d)(2)(i)(C)

• End-user device encryption is always on per (d)(7), so not applicable. (PASS)

(d)(2)(ii)

• All logging needs to be on by default. (PASS)

(d)(2)(iii)

• Logging can only be disabled by a limited set of users. (PASS)

(d)(2))(iv)

• Can not manipulate (changed, overwritten, or deleted) log. (PASS)

(d)(2))(v)

• Need to detect manipulation of log. (PASS)

Final:

• To ensure accurate time, server will need to set up a Network Time Protocol server that supports version 4 Network Time Protocol (NTP) as defined by RFC 5905.
• This item will pass when following PR is brought in: https://github.com/openemr/openemr/pull/3964